Guest Stars

Rachel Andersen As Nurse (Tells Derek That Lexie is Looking for Him) Recurring	Alyson Stover As Patient (Disturbed by Dr. Richard Webber)
Dash Mihok As Clay (Husband of Mary: "Butterfly" Brain Tumor Patient)	Jake Abel As Tyler Moser (Patient: Cervical Spondylosis)
Joelle Carter (1) As Mary (Patient: New Mother with "Butterfly" Brain Tumor)	Lee Majors As Chuck Cain (Patient: Narrowed Aortic Valve)
Marilu Henner As Mrs. Moser (Mother of Tyler Moser: Orthopedic Patient)	Sam McMurray As Mr. Moser (Father of Tyler Moser: Orthopedic Patient)
Sharon Muthu As Fran (Patient: Woman in Labor During Opening Scenes)

Main Cast

Ellen Pompeo As Dr. Meredith Grey	Sandra Oh As Dr. Cristina Yang
Patrick Dempsey As Dr. Derek Shepherd	Justin Chambers As Dr. Alex Karev
Chandra Wilson As Dr. Miranda Bailey	James Pickens, Jr. As Dr. Richard Webber
Sara Ramirez As Dr. Calliope "Callie" Torres	Kevin McKidd As Dr. Owen Hunt
Jessica Capshaw As Dr. Arizona Robbins	Jesse Williams (2) As Dr. Jackson Avery
Eric Dane As Dr. Mark Sloan	Chyler Leigh As Dr. Lexie Grey
Kim Raver As Dr. Teddy Altman	Sarah Drew As Dr. April Kepner

Recap

The episode begins and Meredith delivers a baby. Meanwhile, Bailey is struggling with the diabetes trial and April thinks they should tell Webber about it. Bailey doesn't want to. Meanwhile, Lexie is having trouble adjusting to Derek's quirks. She's working with him now and asking Meredith for advice on how to deal with him. Meredith isn't giving all her secrets away. Meanwhile, Cristina is in for a surprise when she meets her patient for her weekend ortho stint: a young man who suffers from a degenerative bone disease that was made worse when he was in a car accident two years earlier. It's all left him with a condition in which he can't raise his head. Callie says she and Cristina are going to build him a new neck in a three-day, three-part surgery. ..

Read the full recap

• Executive Producer	Betsy Beers  |  Mark Gordon (4)  |  Rob Corn  |  Tony Phelan  |  Joan Rater  |  Shonda Rhimes
• Co-Executive Producer	Jeannine Renshaw  |  Stacy McKee  |  Zoanne Clack
• Supervising Producer	Tammy Ann Casper
• Producer	William Harper  |  Linda Klein  |  Peter Nowalk  |  Jeff Rafner
• Consulting Producer	Debora Cahn (1)
• Production Designer	Donald Lee Harris (1)
• Editor	Joe Mitacek
• Director of Photography	Herbert Davis (1)
• Series Director	Kevin McKidd
• Writer	Peter Nowalk